Action performance and action-word understanding: evidence of double dissociations in left-damaged patients

It has been proposed that language and action representational systems overlap when the tasks used to assess them involve the same stimuli and require abilities acquired at similarly early developmental stage. We matched variables at task and stimulus level to test this hypothesis in a group of 12 left-damaged patients (and 17 controls). At the patients' group level, we replicated previously reported correlations between linguistic and nonlinguistic tasks. When performances were analysed individually, however, double dissociations were observed between the ability to imitate pantomimes and the ability to produce and comprehend the corresponding action verbs, as well as between the ability to use tools and the ability to comprehend the corresponding tool nouns. These findings suggest that processing action words is independent of the ability to produce the associated object-directed actions. Double dissociations were also found between the ability to comprehend action verbs and the ability to comprehend tool nouns. Moreover, action and tool naming showed differential effects of age of acquisition, suggesting that the two word categories meet the lexical organization by word class (nouns and verbs), even when related to identical action concept. Dissociations at behavioural level are supported by anatomical dissociations shown in the analysis of patients' lesions.